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i <br />CITY OF EVERETT WATER DEPT. <br />APPLICATION FOR SERVICEAND/OR TURN ON - SHUT OFF ORDER <br />I HEREE9I APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE ORDINANCES <br />AND POLICIES Oj THE W ATER DEPARTMENT NOW EXIST G F AS SAME MAYBE <br />HEREAFTER CHANGED. <br />OCD NO. SUR Tusr REI°I I I I I I I I I I I I I512E UNITS <br />03 Ol p De <br />19 <br />76-7 <br />AMLICAT �TUpN. I SHUTAFf a OTHER <br />/ 4 <br />AODITI <br />n _ BLOCK LOT <br />SERVICE ADDRESS ��.-.(� 1 w w D_ _ -A e <br />CONSUMER V OWNER ❑ <br />OWNER /�'✓�.E� wJw A w7`' TENANT <br />CONTRACTOR.. <br />RECEIPT / FIXED AMOUNT RESS �o <br />NUMBER DEPOSIT OEFOStT RECEIVED f �PAIO <br />D <br />SIGNED X <br />WORK COMPLETED <br />APPLICATION NO, <br />875I <br />